Active NPI
Jeremy Lewis Mann, PHARMD
- Pharmacist
- Evansville, IN
National Provider Identifier
1508497611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26022797A
- Practice address
- 1150 S Green River Rd
Evansville, IN 47715-6804 - Phone
- (812) 962-3500
- NPI assigned
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26022797A | IN | Primary |
Addresses
Primary practice location
1150 S Green River Rd
Evansville, IN 47715-6804
Mailing address
1150 S Green River Rd
Evansville, IN 47715-6804
Phone (812) 962-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022797A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pauls Pharmacy Inc | Current | Accepting new patients | |
| Pauls Pharmacy Inc | Past | Accepting new patients |
Locations
1150 S Green River Rd
Evansville, IN 47715
Phone (812) 962-3500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1508497611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S GREEN RIVER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477156804",
"telephone_number": "812-962-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S GREEN RIVER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477156804",
"telephone_number": "812-962-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JEREMY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26022797A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.